Provider Demographics
NPI:1306105895
Name:ANDERSON-VIZCAYA, APRIL
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:ANDERSON-VIZCAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 DRACUT LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-7196
Mailing Address - Country:US
Mailing Address - Phone:562-343-3434
Mailing Address - Fax:
Practice Address - Street 1:2727 DRACUT LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-7196
Practice Address - Country:US
Practice Address - Phone:562-343-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
TN9499104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker